Job Description
Job Title: LTSS Service Care Manager
Location: Remote with Member Facing in Ft Myers/Lehigh Acres, Florida
Mon-Fri 8A-5P
Day-to-Day Responsibilities:
- Manage a case load of healthcare members with long-term care needs.
- Monthly and quarterly member contact, including 80% travel. Remote role requiring a driver’s license.
- Complete member assessments with caregivers or providers to gather information for care plan development.
- Monitor service delivery, ensuring that services are provided without gaps. Follow-up with members, caregivers, or providers through in-person visits and telephonic contact.
- Authorize and coordinate service referrals, ensuring functional deficiencies are identified and addressed in care plans.
- Assist in coordinating the development of informal or voluntary services within the member care plan.
- Collaborate with discharge planners, physicians, and other parties to ensure a proper discharge plan, care plan, and coordination of services.
- Assist members in filing and resolving complaints and appeals.
Required Skills/Experience:
- 2+ years of Care Management experience
- Experience with electronic medical health records
- Bilingual (Spanish)
Preferred Skills/Experience:
- Home health experience
- Long-term care experience
- Discharge planning experience
- Proficiency in Microsoft Office
Education Requirements:
- Bachelor’s degree
- 2-4 years of related experience
Job Tags
Remote job,